Homestead_Lasley� � V.
sNA SALFS nISCLOSURE FORM SDF iD:
- +' . ..._� _. • . • . . .i.. ,',: ;� '�� . �.
Jemr D St1weA _ Atiamey at Uw
�Aepaao/ti►eSaJa Dttaktun Fwm Tkls
n �. �e s� Bamberyer Faeman Osvrald b HaM LLP
Addrrst(Nvn�r�ndSawt) �07pa°+y'
p,;,qetar,, W'a1610
F•�^°'�
E. SELLER S GRANTOR S � • • � � ' : , , � F. `• ,,�' • - • • � • ' • • •
John Hun
Namt ot opyeo+s on tonvc)wnc/ datvm�nt Seper I• Nams vs opprors on twnYp�aatt doeu+w�u�
i8J Mssdows Driv!
Addras (NumD�rand Swtt)
Del�ware.OH 43015
Ciry. SmtR and LP Code
Addreu(Numbtrond SVe�et)
CIq;Statt. tnd ZlPCodr
Under penalties of perju�y, i hereb� certify that thfs Sales Cisclosa�e, t� the best oi my kno«�ledge and belief, is true, correct
and complete as required by law� and Is p�epared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
JOtW FNRT
Aaron l�sleY
Buy�r 1• Nome tt opprors on convqwna
� t T E. WxnoCk Sveot
� Addr�tsfNrmberoad Srr�tU
stakapeurc�
THE SAI.FS DISCLOSURE FOfUS MAY YE USEO TO APPLY FOR CERTAtJ�
�j ❑ 1. �'�ill this property be the buyer's primary
residence? Provide complete address of F
residence, including county:
.tddras (Nvmbtr o� Scnrt)
Gry, Swu Z1A Code �OY1a
[� � 2. Does the buyer have ai homestead in Indiana to be
vatated for this residence? If yes. provide
complete address of residence being vacated,
lncluding counry:
,wdr�n (NumBer oea SoYSe,
pp: Scat�Zll Cods Counb
CT(ONS- IDEiVTIFY ALL ITEi�QS THAT l
� lasl
Buy+rr i• Nom� ar appso�s on anwyoacr ocvau+u
i E. Y+ramOd� $veel
Addnss (Num�ronQttns�
cia �a o�euP coa.
um e
PROPERTY.IDENTIF1ALlOFTH 1UTAPYLY.
� �
r: r
L�3 `
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3. Homestead
4. Solar Energy
6. Hydroelectric Power Device
Syscem ��1`
���u
7. Geochermal Energy Heating/Cooling Device
8. Is this property a residential rental propeity?
n�X 9. Would you Hke to receive cax statemen�s For h'
properry via e-mail? (Provide contact m' n
beJow. Please see instructiona for r' ron.
Not availoble In alf counties.J
v�G�%3-�� /"�• �•/�W/�Da�
w�,.,e.,� e.e�rcv a�rner c»ntpct oomt E•moil
Under penalcies of perjury. I hereby certIfy that this Sales Disclosure, to the best of my knowledge and beltef. is true, correct
and complete as required by law. and is prepared in accordance with 1C 6-i.i•5.5, "Rea► Praperty Sales �lsclosure Act". (Note:
Spouse information, Socta) Security and Driver's License/Other numbers are not necessary if no Nomestead Deduction is
being tlled.) '��
�`vc'�.°'� � �
s(pnan�n q(BuyerJ/spoute o3RSlZ0i0
S�;qeownq(srowl
� u� pyy�py0 KELIY 111SLEY
S(yn Do�e (Hw/OO/rY»j Priaud Ltgol Nmne o(8+ry•s� t/Spoutt
Secancy
Lkertse/lD/Otha Number
�
DIANA SALES DISCLOSURE FORM
PREPARER . -
Repnrer o(the Safes Disdasure Form
12 N. Pdnce Sveet
Add�ess (Num6erand 5[ree[)
incemn, IN 47670
Ci9y 5[are. andZlP Cade
� .
John Hun
Sefku� Name os appears on mm�eyanre darummt
Address (Numberond SveecJ
Delavrare, OH 43015
Code
SDF ID:
Tide
Bambe�ger, Faeman, Oswald 8 Hahn, LLP
Company
E-mail
Seller Z� Name as appeors on tonreyante dxummt
Addres (NUm6er and Stree�)
Ciry; Smte. and ZIP Cade
Under penaities of pe�jw•y, I hereb� certify that this Salec Cisclesc�e, to the bes[ of my knowledge and belief, is true, correc[
and complete as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disclosure Act".
JOHNHURT
- APPLICATION FOR
Buyer ]- Name os appears m mnvqv^re
d17 E WdmoG4 $Ueet i
03l25f2010
TIIE SALFS DISCLOSURE FORM MAY BE USED TO APPLI' FOR CERTdI�
�xl ❑ 1.14'ill [his property be ihe buyer's primary
residence? Provide complete address of F
residence, including county:
Address (Number and Suert)
Ciry. Sm[e ZIPCaa< Counry
[ [XI 2. Does the buyer have a homes[ead in Indiana to be
vacated for [his residence? If yes, provide
complete address of residence being vacated,
including county:
Addrecs (Nu mber and Svre[J
Ciry. Sm[e ZIP Cade
Counry
Buyer 2 � ,VOme as
Addrecs (Number and Sveet)
Ciry, Smce, andZ/P Code
IDENTIFS' dLL OF THOT61jNM dPPLY.
� [ 3. Homestead
� IX� 4. Solar Energy H ing/Cooling System
r� r Device 3a`1
L (z��. 6. Hydroelectric Power Device 1���
[ (X� 7. Geothermal Ener� Heacing/Cooling Device
I_ �� 8. Is this property a residential rental prope�ty?
n �X 9. 4l'ould you like to receive [ax s[atemena for h�
property via e-mail? (Provide conmct i rma. � n
belaw.Pleaseseeinstructions�or r ' ian.
Not availa6le in all counties.)
��-ia-Q�- ��- �0��9-oaa'
v.:m�... �..��.rrv �W�r. mnmce name E�mvil
z
Under penalties o( perjury, I hereby certify that [his Sales Disclosure, to [he best of my knowledge and belief, is true, correc[
and complete as required by law, and is prepared in accordance wi[h IC G-1.1-5.5, "Real Property Sales Disdosure AcY'. (No[e:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deduc[ion is
being fledJ �Ip� � �
� � �� ,��,��
Signnmreo(Buyer]
1RON LASLEY 03125I2070
Pnnred Legal Name o(Buyer 1 Sign Da[e [MM/OD/nnj
LastSdigiuo(BuyerlDriver's Sm[e Las[SDigi[sof5ocia15ecwityNumber
License/ID/Orher Num6er
Signarvre o(Buyer2/Spouse
KEILY LASLEY 03R512010
PnntedLegalNameofBuye�2/Spouse SignDau(.vn�/DD/Y1»�
$
Number Lirense/ID/OtherNumber
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CLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD/SUPPLEMENTALDEDUCTION
Stata Fortn 5473 (R72 / 609)
�O � Prescnbed by lhe DepartrtreM of Laal GovemmeM Frerce
FORM . YEAR
� HC1
irv� �nu� i�vrv�: �ee raverse sme ror miny mswuwna MAY 9 LU 11
. .
�_.J.
I(We) � certify that I(we) i s my (our) prindpal
place of residence or am (are) buyinq Ihe foll ' g desaibed real for which a Homestead Pro Grtys�x Star��c��g�Qg�Ereby daimed
under contract on Ue date this appiicalion is filed, (date of filin �B ���
9)
❑ I(We) own ❑ Am (are) buying under recorded contract
❑ Am (are) entiiled to occupy as a tenant-stockholder of a cooperative housing corporation
� Have a benefidal interest in the Wst or the right to occupy the property under ihe terms of a qualified personal residence Wst
.• • •
Name of tlaima a/ nama)
Sodal Seuuily nmha at
.•. �
If b' g am m�tra0. ee Simple s w
Remrdets atfre wherc mntrad is � Remd rvm6er Page
. _ � • _ � • �
Coun Township ' Tatirg disbia (rity, M, t ip) . ..
Pa�elfOmber—V��O� V'I� 'ptim . Is�Realpm � �� ❑MnuaOyassesseArtaWehome(IC6/.f-7)
P C�
It anY P�� ���e^�I strucW �e «Ne Ia�M trol exreeEtrg me (1) aoe Nat immeGiately surmu�Ms ihat sWCeire is used In produca Incwna. dasaiba the use and portion
of Ihe property WTaed to ryoduce intortre. �\�
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• � • • � : � •
Counry Twmship Cwnry Township
I hereby certity the above ststements are We, corteU aM complete. Sigriawre ot daimant �
�.
PEdress (rwmber and sheet, tiry, alete, antl LP cotle) �
y/ £'. l.r/A.��v C� P�Ps.�CF� u.� .t.,%D, y 7�` � O
.• .
. . .� . �
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Land not ezceeding 1(one) acre Immediately � ����'`��yy�'-�' • ��`H`��'x
sunoundin residential im rovements. � � =.� -t "�+.�'�`�"+��'r'�K%--
' r�'.'�'� s3
Otherlan0 . (2) ;;i�"c§: s�}i!;
Total land (line f plus line � (3) �
:;}�.g ' S.�:�`"}-vs`si37�":`"i?�
ResiCenUallmprovemenborAnnuatly �����9 �4) '�" ^�-'#��itl�����`"'
Assasetl Mobile I Manufactured Home Garage (5) 3���'�.'"�� �-"�� �� 4�e
� ��� �:.�� .��t�
{..�- fi�µ":�t �°�
Other improvements (F) .�y.;y-�._'�J.,,���
7atal improvements (line 4 through Itne 6) (7)
Total value (line7 pI's Ilne n (8)
I here6y certify Ne above is hue, cortect, Sigriawre of Asussor Date slgnetl (mwRh, day, yea�
and complet¢.
V9�111 j dG�011- S19(13WR OiAUlT1IDf Ddi2 41011EO IlIIMN. AdY. Yean
�..� � � � •
2D pay 20 _ Lesser of 60 h of the assessed value of ihe homestead or $45,000
NoMi(hslaMhg any o�herproNSbn, fhe sum W Ne detlurlions proridetl in IC 6f.1-12 ta a rtaWe fartre fist is $
nw essesaee es,ea�aroaem or m s manNaCU,ee nane u,el a nw essessea as rea� wopem,ney rwf e,rceea
mehatl(721 W Na assessed rdlueW Na mo6da l�ort�e ormanularlured fartie.
Sigriaurte at W Witor Date si9ne0 (rtanfh. daY. Yea�)